Esthetic Assessment following Ridge Augmentation, Late Implant Placement and Immediate Esthetic Reconstruction of the Atrophic Anterior Maxilla

Sarit Naishlos, Vadim Reiser, Helena Zelikman, Joseph Nissan, Daya Masri, Hiba Nassra, Gavriel Chaushu, Sigalit Blumer, Liat Chaushu*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Evaluate the esthetic outcome of ridge augmentation using cancellous bone-block allografts, late implant placement, and immediate loading in the atrophic anterior maxilla, by PES (pink esthetic score) and WES (white esthetic score) indexes. Materials and Methods: Retrospective cohort study. Inclusion criteria were bone loss of at least 3 mm horizontally and 3 mm vertically according to preliminary CBCT; ridge augmentation using cancellous bone-block allografts; six months later the implant insertion and immediately loaded. PES-WES index was used for esthetic assessment of soft tissues surrounding the final implant-supported prosthesis (ISP). Results: All twenty-five successive individuals were included. The mean follow-up was 12.1 ± 56 months (range, 42–90 months). The mean PES index and WES index were 7 ± 1.74 (range: 5–10) and 8.4 ± 2.12 (range: 5–10), respectively. The mean total combination of PES index and WES index (PES/WES) was 15.3 ± 2.85 (range: 12–20). All ISPs had an overall score >12 (the defined threshold of clinical acceptability). Conclusions: Ridge augmentation in the atrophic anterior maxilla using cancellous bone-block allografts and immediate loading allows a stable esthetic result of the soft and hard tissues over the years (follow-up of 42–90 months).

Original languageEnglish
Article number3689
JournalInternational Journal of Environmental Research and Public Health
Volume19
Issue number6
DOIs
StatePublished - 1 Mar 2022

Keywords

  • Allograft
  • Bone-block
  • Immediate loading
  • PES/WES

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